Etheridge, Joanne Carol
Etheridge, Joanne Carol is an sole proprietor health care provider with primary practice located at 31625 Highway 101 S , Soledad CA 93960-9529. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Etheridge, Joanne Carol can be contacted via phone (831) 678-5500.Contact Information
Primary practice address
31625 Highway 101 S
Soledad CA 93960-9529
Phone: (831) 678-5500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS 8855 | California |
Profile Details
| NPI number | 1003111717 |
|---|---|
| LBN Legal business name | Etheridge, Joanne Carol |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2011 |
| Last updated | Jan 11th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003111717 | NPPES |
| Arizona | Other | CPR702A51404 | ANTHEM BLUE CROSS |
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